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Quality Audit Specialist

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The Opportunity

We're looking for a Quality Audit Specialist, working in the Insurance industry in Albuquerque, New Mexico, United States.

  • Apply structured auditing criteria to abstract medical records, follow defined procedures for saving approved medical record documentation and accurately enter the results of chart audits into the healthplan database, Quality Spectrum Hybrid Reporter (QSHR).
  • Abstract medical record documentation submitted for HEDIS measures, used annually for reporting to National Committee for Quality Assurance (NCQA).
  • Maintain productivity level with less than a 5% error rate in record abstraction and data entry on an ongoing basis.
Details

The pay range we are offering is 30 to 31 per hour. This position may present an opportunity to go permanent.

Our Client

Our client is a fast-growing industry-recognized staffing firm.  Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent.  With 20+ years’ experience and growth. 

Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services.  Working to bring top talent together with premier organizations.

Big enough to have great opportunities.  Small enough to care about finding the right one for you. 

It’s about relationships based on mutual interest.  The results are low turnover, long-lasting partnerships and growth.  Want to work for a company invested in your success?

Experience Required for Your Success
  • Registered Nurse (RN) with unrestricted state license
  • 3 years of clinical experience
  • 2 years experience in utilization review, quality assurance, and/or medical record and site review audits
  • Knowledge of medical terminology standard medical practices, formal quality improvement process, and federal, state, accreditation regulations and standards
What Do You Think?

Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.

Not exactly? Join Our Talent Community, and we'll let you know of additional opportunities.